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Obviously an anomaly. It is high time those in the know and in the power put the kibosh on this insanity.
People have very short memories. Were it to be otherwise, they would remember an excruciating tale of murder which will forever be in the dark. One such child, in those very United States, was taken out of this world for the very reason, we assume, her caretakers did not think clearly and were just drifting unconsciously in this sea of beauty madness.
Children are children and should be protected under lock and key from the apparent hunger some in this distorted cultural industry prevalent in modern countries, where people literally bend themselves out of shape, have for pageants and such like.
Children are beautiful the way they are and they do not need enhancements of any kind.
It is unfathomable how some, led by illusions of perfection and greed, will go to any length to advance their unhealthy agendas.
If you must keep with the game of using your children and other people's children for gains and the Sun knows what else, do please incorporate strict rules. Law-abinding rules. And then, only then, knock yourselves out.
Let us be away from this maddening crowd. Oy vey!